01D0304167 CLIA NUMBER - DBA CENTERWELL HOME HEALTH

Laboratory Demographics

CLIA Number: 01D0304167

Facility Name: DBA CENTERWELL HOME HEALTH

Facility Address:
1988 FAIRVIEW AVENUE
PRATTVILLE, AL
ZIP 36066
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Facility Phone Number: (334) 361-9806

Facility Type: HOME HEALTH AGENCY

Certificate Type: Waiver

NPI Number: 1134158843

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name	Field Value
CLIA Number	01D0304167
LAB Type	HOME HEALTH AGENCY
Facility Name	DBA CENTERWELL HOME HEALTH
Street	1988 FAIRVIEW AVENUE
City	PRATTVILLE
State	AL
ZIP	36066
Phone	(334) 361-9806

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This page was last updated on: 5/11/2023